Proliance Surgeons, Inc., P.S.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

PROLIANCE SURGEONS, INC., P.S.

Doing business as

Northwest Women's Healthcare

Practice address

1101 Madison St Ste 1150
Seattle, WA 98104-3558

Phone

(206) 386-3400

Fax

(206) 386-3411

NPI assigned

Jan 10, 2017

Last updated

May 27, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Laura Kleisle

Title

Chief Risk Officer

Phone

(206) 838-2590

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• NORTHWEST WOMEN'S HEALTHCARE Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Zachary Robert Ashwell, MD

  • Diagnostic Radiology Physician
  • Lynnwood, WA
  • NPI 1396189445
  NPD
• Alexandra Grace Breuhaus, PA-C

  • Medical Physician Assistant
  • Lynnwood, WA
  • NPI 1083153043
  NPD
• Marianne Clare Greenbaum, MD

  • Diagnostic Radiology Physician
  • Seattle, WA
  • NPI 1558440453
  NPD
• Ruben Krishnananthan, MD

  • Nuclear Medicine Physician
  • Lynnwood, WA
  • NPI 1891807863
  NPD
• Erik Arthur Magnusson, MD

  • Orthopaedic Trauma Physician
  • Bellevue, WA
  • NPI 1447679816
  NPD
• Juan Alejandro Millan, MD

  • Body Imaging Physician
  • Lynnwood, WA
  • NPI 1275511172
  NPD
• Elizabeth A Ripley, AUD

  • Audiologist
  • Issaquah, WA
  • NPI 1184038721
  NPD
• Anh Quoc Truong, M.D.

  • Otolaryngology Physician
  • Bellevue, WA
  • NPI 1467680108
  NPD
• Anna L. Walton, MD

  • Obstetrics & Gynecology Physician
  • Seattle, WA
  • NPI 1114389129
  NPD
• Michael J. Wolfe, M.D.

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Seattle, WA
  • NPI 1346289865
  NPD
• Julia A. Wood, AU.D., CCC-A

  • Audiologist
  • Issaquah, WA
  • NPI 1154841575
  NPD
• John D Burgoyne, MD

  • Otolaryngology Physician
  • Austin, TX
  • NPI 1467410613
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1326584673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 MADISON ST STE 1150",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043558",
            "telephone_number": "206-386-3400",
            "fax_number": "206-386-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MADISON ST STE 1150",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043558",
            "telephone_number": "206-386-3400",
            "fax_number": "206-386-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROLIANCE SURGEONS, INC., P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-10",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "KLEISLE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "CHIEF RISK OFFICER",
        "authorized_official_telephone_number": "206-838-2590",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "601484763",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2074883",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHWEST WOMEN'S HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NORTHWEST WOMEN'S HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Proliance Surgeons, Inc., P.S. (Seattle Orthopedic Center MRI)
• Proliance Surgeons, Inc., P.S. (Orthopedic Physician Associates)
• Proliance Surgeons, Inc., P.S. (ProOrtho)
• Proliance Surgeons, Inc., P.S. (Orthopedic Specialists of Seattle)
• Proliance Surgeons, Inc., P.S.
• Proliance Surgeons, Inc., P.S. (Proliance Surgeons Seattle Orthopedic Center-ASC)
• Proliance Surgeons, Inc., P.S. (Proliance Surgeons Minor and James)
• Proliance Surgeons, Inc., P.S. (Seattle Obstetrics & Gynecology Group)
• Proliance Surgeons, Inc., P.S. (Proliance Imaging Center at First Hill)
• Proliance Surgeons, Inc., P.S. (Seattle Surgery Center)

• Obstetrics & Gynecology Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Obstetrics & Gynecology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.